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CCCApply

Supplemental Questions

Field Name

Field Type

Banner Integration

Standard Application Question

Field Name

Field Type

Banner Integration

Are you a recipient of CalWORKs, Temporary Assistance for Needy Families (TANF), or Aid to Families with Dependent Children (AFDC)?

AFDC hasn’t been a program since 1997 when it was replaced by TANF. Should this even be a question anymore?

Are you receiving TANF/CalWORKs, SSI, or General Assistance?

tanf_ssi_ga

Yes [radio button]

No [radio button]

No selection

Are you a recipient of Supplemental Security Income (SSI)?

Does this need to be captured individually?

Are you receiving TANF/CalWORKs, SSI, or General Assistance?

tanf_ssi_ga

Yes [radio button]

No [radio button]

No selection

Are you a recipient of General Assistance or General Relief?

Does this need to be captured individually?

Does “General Relief” warrant an additional question or is it a synonym?

Are you receiving TANF/CalWORKs, SSI, or General Assistance?

tanf_ssi_ga

Yes [radio button]

No [radio button]

No selection

Are you a recipient of Cal Fresh, food stamps, or the Supplemental Nutrition Assistance Program (SNAP)?

Are you otherwise economically disadvantaged?

Are you a single parent?

Are you a displaced homemaker?

Have you, your parent, or guardian been employed as a migrant farmworker at any time in the past 36 months?

Do you possess attitudes, beliefs, customs, or practices that serve as a hindrance to employment?

What is this? Why do we ask this?

If you are unemployed, have you been looking for work for 27 weeks or more?

Are you an ex-offender?

Are you or your parent/guardian employed on U.S. National Forest property within Tulare County: or, working in U.S. National Forest Service Facilities outside the National Forest but still within Tulare County boundaries?

Do you reside on U.S. National Forest land; or property leased from the U.S. Forest Service; or privately owned land (enclosed within the boundaries of the U.S. National Forest within Tulare County); or privately owned land within one mile of the boundaries of the U.S. National Forest?

Consider including help text that can be shown while filling out the application. I didn’t see any for these supplemental questions.

Emergency Contact (required)

Question

Field Name

Field Type

Banner Integration

First Name

Last Name

Area Code

Phone

Extension

Address Line 1

Address Line 2

City

Zip

Their relationship to you:

State

Country

The following question will help us place you in the most appropriate Math class.

Question

Field Name

Field Type

Banner Integration

If you are taking a math class currently, which class is it?

Pre-Registration Survey

Question

Field Name

Field Type

Banner Integration

My Campus:

Select the campus that you will attend most/all of your classes:

Dropdown:

Visalia Campus

Hanford Campus

Tulare Campus

https://sequoias.atlassian.net/browse/AP-652

Are you interested in resources for undocumented students?

Yes/No Radio Boxes

https://sequoias.atlassian.net/browse/AP-653

Are you interested in receiving information about housing and/or homeless resources?

Yes/No Radio Boxes

https://sequoias.atlassian.net/browse/AP-654

Choose which apply from the list below:

opt1

opt2

opt3

opt4

opt5

CalWORKs/TANF/AFDC recipient

SSI recipient

General Assistance recipient

Other economically disadvantaged status

None of the above

https://sequoias.atlassian.net/browse/AP-655

Are you a single Parent?

vt1

Yes/No Radio Boxes

https://sequoias.atlassian.net/browse/AP-656

Are you a displaced homemaker?

vt2

Yes/No Radio Boxes

https://sequoias.atlassian.net/browse/AP-657

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